| Growth Therapy Llc | |
|
755 Main St. Monroe CT 06468 | |
| (203) 707-1277 | |
| Not Available |
| Full Name | Growth Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 755 Main St., Monroe, Connecticut |
| Authorized Official Name and Position | Kristen Cocchia Dew (OWNER) |
| Authorized Official Contact | 2037071277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth Therapy Llc 24 Edgewood Ave. Milford CT 06460 Ph: () - | Growth Therapy Llc 755 Main St. Monroe CT 06468 Ph: (203) 707-1277 |
| NPI Number | 1871013219 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 02/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871013219 | NPI | - | NPPES |
| 1952792541 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 01710 (Connecticut) | Primary |
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